淡江大學機構典藏:Item 987654321/108278
English  |  正體中文  |  简体中文  |  全文笔数/总笔数 : 58812/92517 (64%)
造访人次 : 648677      在线人数 : 43
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library & TKU Library IR team.
搜寻范围 查询小技巧:
  • 您可在西文检索词汇前后加上"双引号",以获取较精准的检索结果
  • 若欲以作者姓名搜寻,建议至进阶搜寻限定作者字段,可获得较完整数据
  • 进阶搜寻


    jsp.display-item.identifier=請使用永久網址來引用或連結此文件: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/108278


    题名: Trajectory and Determinants of Nutrition Health in Older Patients During and Six-month Post Hospitalization.
    作者: Chen, Cheryl Chia-Hui;Tang, Siew T;Wang, Charlotte;Huang, Guan-Hua
    关键词: acute care;elderly;GEE modeling;geriatrics;nursing;nutritional status
    日期: 2009-12-31
    上传时间: 2016-11-16 02:10:47 (UTC+8)
    出版者: Wiley-Blackwell Publishing Ltd.
    摘要: AIM:
    The aim of this study was to characterise the trajectory and to identify determinants of nutritional health over time in a sample of older hospitalised patients, using the Generalized Estimating Equation.
    BACKGROUND:
    Nutritional health deteriorates and may fluctuate over time during and post-hospitalisation. To develop a target intervention it is essential that we first have a clear picture of how the nutrition changes and examine the determinants of nutritional health during and post-hospitalisation.
    DESIGN:
    A prospective cohort study was conducted on 306 older hospitalised patients aged 65 years and older.
    METHODS:
    Subjects were recruited from five surgical and medical wards at a tertiary medical center in northern Taiwan and assessed at four points in time: within 48 hours after admission, before discharge and 3-6 months post-discharge.
    RESULTS:
    Nutritional health fluctuated significantly over time. The curve dropped during hospitalisation, returned at three months and rose slightly at six months post hospitalisation. After controlling for length of stay and surgical treatment, patients showed decreased cognitive capacity, worsening oral health, increased use of medications, increased functional limitations and raised depressive symptoms, all of which affects their nutritional health over time. The extent of functional status impacting on nutrition varies at different points in time while the predictability of other determinants remained stable.
    CONCLUSION:
    The trajectory of nutritional health is a reflection of the patients' cognitive status, oral health, medication taken, functional status and depressive symptoms. The findings of our study should provide guidance in the development of intervention for the nutritional health of older patients during inpatient as well as transitional care.
    RELEVANCE TO CLINICAL PRACTICE:
    Multi-faceted packages of interventions targeting a range of determinants for managing undernutrition and subsequent decline during and post-hospitalisation need to be tested.
    關聯: Journal of Clinical Nursing 18(23), pp.3299-3307
    DOI: 10.1111/j.1365-2702.2009.02932.x
    显示于类别:[數學學系暨研究所] 期刊論文

    文件中的档案:

    档案 描述 大小格式浏览次数
    index.html0KbHTML179检视/开启

    在機構典藏中所有的数据项都受到原著作权保护.

    TAIR相关文章

    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library & TKU Library IR teams. Copyright ©   - 回馈